Beneficial Effect of Repetitive Transcranial Magnetic Stimulation Combined With Physiotherapy After Cervical Spondylotic Myelopathy Surgery.

M. Farrokhi, Sina Salehi, Negar Nejabat, M. Safdari, Hosein Ramezani Abadeh
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引用次数: 1

Abstract

PURPOSE Cervical spondylotic myelopathy (CSM) is one of the most notable causes of spinal cord impairment among elderly people worldwide. Little is written about the influence of postoperative rehabilitation on recovery of function in patients with CSM. In this study, we assessed the combined effects of repetitive transcranial magnetic stimulation (rTMS) combined with physiotherapy and physiotherapy alone on motor and sensory improvement assessed after spinal cord decompression in patients with CSM. METHODS This prospective study comprised 52 patients with CSM; they were divided into two randomized groups after spinal cord decompression. The first group (group Ι) includes 26 patients, received a combination of rTMS and physiotherapy. The second group (group ΙΙ) of 26 patients underwent only physiotherapy. The neurologic assessment measures, including American Spinal Cord Injury Association score, modified Japanese Orthopaedic Association score, Ashworth scale, and Nurick grade, were recorded before and after rehabilitation interventions for each patient. RESULTS According to the neurologic assessment measures, physiotherapy with/without rTMS after surgical decompression corresponded to significant improvement of motor function (P < 0. 01) without significant restoration of sensory function (P > 0. 01). Recovery rates of motor function were significantly better in group Ι than in group ΙΙ (P < 0. 01). There was no significant difference between two groups with respect to age (P = 0.162) and sex (P = 1.00). CONCLUSIONS Although physiotherapy with/without rTMS improves motor function recovery after CSM surgery, rTMS in combination with physiotherapy leads to a more rapid motor function recovery than physiotherapy alone.
反复经颅磁刺激联合物理治疗对脊髓型颈椎病术后的有益效果。
目的:脊髓型颈椎病(CSM)是全球老年人脊髓损伤最显著的原因之一。关于CSM患者术后康复对功能恢复的影响,文献报道甚少。在这项研究中,我们评估了重复经颅磁刺激(rTMS)联合物理治疗和单独物理治疗对CSM患者脊髓减压后运动和感觉改善的联合作用。方法本前瞻性研究纳入52例CSM患者;脊髓减压后随机分为两组。第一组(Ι) 26例患者,采用rTMS联合物理治疗。第二组(ΙΙ) 26例患者仅接受物理治疗。记录每位患者康复干预前后的神经系统评估指标,包括美国脊髓损伤协会评分、修正日本骨科协会评分、Ashworth评分和Nurick评分。结果根据神经功能评估指标,手术减压后物理治疗加/不加rTMS可显著改善运动功能(P < 0.05)。0.01),感觉功能无明显恢复(P > 0.05)。01). Ι组运动功能恢复率显著优于ΙΙ组(P < 0.05)。01). 两组间年龄(P = 0.162)、性别(P = 1.00)差异无统计学意义。结论物理治疗加/不加rTMS均能改善CSM术后运动功能的恢复,但rTMS联合物理治疗的运动功能恢复速度比单独物理治疗更快。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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